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Health Insurance Profits NOT as “Fat” as Dems Claim Posted on October 27th, 2009
Profit margins are anemic compared with a variety of industriesQuick quiz: What do these enterprises have in common? Farm and construction machinery, Tupperware, the railroads, Big Oil, Hershey sweets, Yum food brands, Google and Yahoo? Answer: They’re all more profitable than the health insurance industry.In the controversial health care debate making it’s way through Congress, Democrats and their allies have gone after insurance companies as rapacious profiteers making “immoral” and “obscene” returns while “the bodies pile up.”
However, quarterly Profit and Loss statements tell a different reality. California Group Health insurance profit margins typically run about 6 percent, give or take a point or two. That’s anemic compared with other forms of insurance and a broad array of industries..
Profits barely exceeded 2 percent of revenues in the latest annual measure. This partly explains why the credit ratings of some of the largest insurers were downgraded to negative from stable heading into this year, as investors were warned of a stagnant if not shrinking market for private plans.
Insurers are continuously targeted by Congress and Obama who want a government-run plan in the marketplace. Such a public option would force private insurers to trim profits and restrain premiums to compete, the argument goes. This would “keep insurance companies honest,” says President Barack Obama.
They may not have helped their case by commissioning a report that looked primarily at the elements of health care legislation that might drive consumer costs up while ignoring elements aimed at bringing costs down. Few in the debate seem interested in a true balance sheet.
A look at some claims, and the numbers:
The claims
- “I’m very pleased that (Democratic leaders) will be talking, too, about the immoral profits being made by the insurance industry and how those profits have increased in the Bush years.” — House Speaker Nancy Pelosi, D-Calif., who also welcomed the attention being drawn to insurers’ “obscene profits.”
- “Keeping the status quo may be what the insurance industry wants their California Health Insurance Quotes have more than doubled in the last decade and their profits have skyrocketed.” — Maryland Rep. Chris Van Hollen, member of the Democratic leadership.
- “Health insurance companies are willing to let the bodies pile up as long as their profits are safe.” — A MoveOn.org ad.
Other health sectors doing well
Health insurers posted a 2.2 percent profit margin last year, placing them 35th on the Fortune 500 list of top industries. As is typical, other health sectors did much better — drugs and medical products and services were both in the top 10.The railroads brought in a 12.6 percent profit margin. Leading the list: network and other communications equipment, at 20.4 percent.
HealthSpring, the best performer in the health insurance industry, posted 5.4 percent. That’s a less profitable margin than was achieved by the makers of Tupperware, Clorox bleach and Molson and Coors beers.
UnitedHealth Group, reporting third quarter results last week, saw fortunes improve. It managed a 5 percent profit margin on an 8 percent growth in revenue.
Van Hollen is right that premiums have more than doubled in a decade, according to a Kaiser Family Foundation study that found a 131 percent increase. However, this is due to rising health CARE costs which are passed along to consumers via the insurers. This debate is failing to address the true issue which are the rapidly rising COST of health care.
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Keyword here Posted on October 10th, 2009
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Obama Care-Show me THE MONEY! Posted on October 9th, 2009
OK so Obama is stating the his program is revenue neutral. For those of you who believe that-please allow me to present a few facts and opinions.

1-The Senate Finance Committee “carefully” drafted a bill that assumes that cuts in Medicare will save $200 billion with cuts to the “Sustainable Growth Rate” cuts to Medicare spending through 2012 and beyond. (Sound the trumpets please)… These same requirements drafted by the CBO have been in place since 2003-and every year Congress has vetoed these same cuts. The assumption that Congress will all of a sudden get financially prudent is silly and certainly not realistic to budget savings accordingly.
2-Another similar analysis applies to the other 200 billion that the government seeks to cut from fraud, waste and abuse from Medicare and other federal health care spending. Well, hasn’t the government been promising to do this since my parents were born? Every now and then a little “fingernail” get’s trimmed. But, the last time I checked the spending keeps rising and proportionately fraud and waste follow right behind. Please explain how this pattern is now all of a sudden going to change?
3-It also worth noting that the Baucus bill includes more spending than cuts. The biggest is the 40% tax on health insurance plans in excess of $8,000 for individual and $21,000 for families-the “Cadillac” plans.
So, to sum this up provided that the sun rises in the west and sets in the east I think the Obama care health care bill will be (1) deficit neutral, (2) be on budget and (3) reduce the budget-as stated.
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“What’s Up” with Obama Care..How will his plan affect me? Posted on October 8th, 2009
I have been in the California Health Insurance Market for about 10 years and thus I have been following this really close. Some of the controversial issues are listed below and how it will affect you are:
1-Will I be able to keep my current doctor? Maybe not. If you employer deems the government plan will cost save him money (the fine is less than his company premium) you can bet your last nickle some employers that offer group coverage will drop their company plan and force employees to go on the government plan. Like Medicare and Medical many doctors don’t accept these plan, even Medicare Supplements (they don’t pay the market rate for services) and if you fall into this situation you may be forced to find a new health care provider.

2-How will the government pay for the program? Well, politicians say that it will be deficit neutral and won’t add a dime to the deficit. If this is the case this will be the first (ever) government program to be delivered on budget and on time. If we look at Medicare and Medical and even Social Security they are completely under funded and tinkering on being financially insolvent. I think this statement is mis-leading and not even possible-to say the least. Plus, they have identified $600 billion dollars to TAKE from Medicare to pay for this program. As if there was just $600 billion dollars of money sitting there that they are “waiting” to take from roll out their plan? If it is there “why have the been waiting so long to save the tax payers the money”-come on?
These are just (2) areas of concern and conversation that I thought I would throw out to the web world. Your comments pro or con are much appreciated.
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